Individual
DR. KELLEY GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1752 NW 3RD TER, #213, FORT LAUDERDALE, FL 33311-4885
(203) 430-9108
Mailing address
1752 NW 3RD TER, #213, FORT LAUDERDALE, FL 33311-4885
(203) 430-9108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 9562
FL
Other
Enumeration date
11/07/2015
Last updated
11/07/2019
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